Active NPI
Judith B Lazzaretti, M.S.W.
- Clinical Social Worker
- Elizabeth, NJ
National Provider Identifier
1346390259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC00203900
- Practice address
- 655 Westfield Ave
Elizabeth, NJ 07208-1325 - Phone
- (908) 352-1875
- Fax
- (908) 352-8858
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC00203900 | NJ | Primary |
Addresses
Primary practice location
655 Westfield Ave
Elizabeth, NJ 07208-1325
Mailing address
52 Briar Hills Cir
Springfield, NJ 07081-3420
Phone (973) 379-4147
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0036200 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC00203900 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1346390259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 BRIAR HILLS CIR",
"city": "SPRINGFIELD",
"state": "NJ",
"postal_code": "070813420",
"telephone_number": "973-379-4147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 WESTFIELD AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072081325",
"telephone_number": "908-352-1875",
"fax_number": "908-352-8858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZZARETTI",
"first_name": "JUDITH",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "M.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC00203900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0036200",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.